Bill > S2743

This bill aims to modify the rules for Disproportionate Share Hospital (DSH) payment adjustments under Medicaid, which are additional payments made to hospitals that serve a large number of low-income patients. The bill makes several key changes to how hospitals can calculate and receive these payments. Specifically, it expands the types of payments that can be considered when determining a hospital's DSH payment, including payments from Medicare (Title XVIII) and other applicable insurance plans. The bill allows hospitals to qualify for DSH payments if they have incurred costs that exceed the payments received for services to eligible Medicaid patients. Additionally, the bill provides states with the option to redistribute unspent DSH allotments from previous years (specifically from Federal fiscal years starting October 1, 2021) by allowing them to increase hospital payment adjustments, with the condition that these adjustments comply with the new regulations and do not exceed the state's total DSH allotment. The bill also prevents states from recouping payments already made to hospitals under the previous rules and allows states to retroactively modify their Medicaid state plans to implement these changes, with a deadline tied to the submission of annual independent certified audits.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/2743/all-info